2005-2006 SENIOR HIGH
FEE AGREEMENT
Student Name:
____________________________________ Grade:
_______
(please print)
|
1. |
SECURITY DEPOSIT This fee covers the cost of lost and/or damaged instructional
supplies and materials. If books and
other instructional resources loaned to students for use during the school
year are returned in satisfactory condition, the fee will be refunded. (REFUNDABLE
at end of gr 12 or when withdrawing from QE) |
$ 50.00 |
|
2. |
INSTRUCTIONAL RESOURCE
FEE: This fee covers the basic cost of instructional
supplies and materials for courses |
$132.00 |
|
3. |
GENERAL SCHOOL FEE: At Queen Elizabeth Jr/Sr
High School, this fee covers the cost of student e-mail, student access to
on-line reference services, student agendas, awards, locker rental, photo ID
cards, newsletters, postage, student council and school buses. This fee may also support extra-curricular
and co-curricular programs (Only
school supplied locks are allowed on lockers within the school) |
$ 50.00 |
|
4. |
ACTIVITY / PROGRAM FEE: These user fees are charged to students to cover
the cost of the activity or program.
Advance Placement Exams Graduation
Ceremony (banquet tickets sold in April) Outdoor
Education Physical
Education 10, 20, 30 (Off Campus activities) Sports
Performance |
$
130.00 $ 60.00 $
150.00 $ 80.00 $ 80.00 |
|
5. |
OPTIONAL PURCHASES: Students may want or need to purchase the following
items Gr 10 (only need to purchase a Phys Ed shirt for PE
activity) Gr 10/11/12 – replacement Phys Ed shirt Gr 10/11/12 – replacement Phys Ed shorts Yearbook Student Parking (Limited
on-site parking. East parking, lot
facing field). Application form and
vehicle information form to be completed prior to receiving parking tag. |
$ 10.00 $ 10.00 $ 20.00 $ 30.00 $ 20.00 |
|
|
Please total all applicable
fees and place that figure on the “Total Fees” line below. We currently accept payment by cash, cheque
or money order (payable to Queen Elizabeth Jr Sr High School).
Postdated cheques will be accepted from Sep
1 – Dec 31/05 ONLY. There will be a
charge of $20.00 for each cheque returned by the bank to defray bank charges
and related school costs
TOTAL FEES PAID |
$ |
|
6. |
MUSICAL INSTRUMENT REGISTRATION FEES (separate cheque) Instrument rental fees are
made payable to Queen Elizabeth Jr/Sr High School
and given directly to the Band teacher, Mr. Thorlacius. A separate
cheque is required, please DO NOT include with school fees Instrument Rental (NON REFUNDABLE) Mallet / Stick Bag (drummers
only) ONE TIME FEE |
$ 85.00 $ 102.00 |
|
7. |
Students may be responsible
for the following at the time of replacement Replacement lock for phys ed / hall (ONLY to cover the cost of a lost or stolen
lock) Replacement receipt/timetables (ONLY to cover the cost of a lost receipt
or timetable Replacement student ID card (ONLY to cover the cost of lost
student ID card) |
$ 5.00 $ 0.50 $ 5.00 |
I agree to pay the TOTAL FEES (calculated above) to Queen Elizabeth Jr/Sr High School
Date: e-mail address:
Parent/Guardian
Name:
(please print)
Address:
Telephone:(home)
office cell
Parent/Guardian
signature:
Personal information contained on this form
is collected under the Student Record Regulation of the School Act, and
sections 32(a) and (c)of the Freedom of Information
and Protection of Privacy Act and will be used only for the purpose of student
registration and entry into a software database in order to provide electronic
correspondence on school activities, events, student attendance. Your email
address will also be provided to School Council and GATE Parents Association
for correspondence purposes. If you have any questions regarding the collection
of this information, contact the FOIP Coordinator at the Calgary Board of
Education Centre, 515 Macleod Trail SE, Calgary.
Student
Name:
______________________________________________________
|
FEE |
AMOUNT |
Amount Paid |
FEE |
AMOUNT |
Amount Paid |
|
|
Caution fee (rolled over) |
Yes |
|
Advance Placement Exam |
$ 130.00 |
|
|
|
Security Deposit |
$ 50.00 |
|
Graduation Ceremony |
$ 60.00 |
|
|
|
Instructional Resource |
$ 132.00 |
|
Outdoor Education |
$ 150.00 |
|
|
|
|
$ 50.00 |
|
Phys Ed 10, 20, 30 (off campus activity) |
$ 80.00 |
|
|
|
Phys Ed gr 10 PE shirt |
$ 10.00 |
|
Sports Performance |
$ 80.00 |
|
|
|
PE replacement shirt |
$ 10.00 |
|
Yearbook |
$ 30.00 |
|
|
|
PE replacement shorts |
$ 10.00 |
|
TOTAL FEES |
|
|
|
Cheque ________ Post Dated Chq ________________________________ Money Order _______
Cash ______
Received by:
_______________________________________________ Date ________________________________